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Despite of evidence-based effectiveness on anti-failure drugs, bad adherence is pervading and continues to be a significant barrier to improving clinical results in heart failure population. OUTCOMES We enrolled 459 clients with diagnosis of heart failure admitted at a tertiary cardio medical center in Dar es Salaam, Tanzania. The mean age had been 46.4 years, there clearly was a lady predominance (56.5%), 67.5% resided in towns and 74.2% had main training. Of the 419 members elig